Pleasure In The Pause: Smart, Sexy Midlife Conversations about Menopause, Hormones & Female Pleasure

Gabriella Espinosa
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  • SEXUALITY
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Menopause doesn't mean the end of pleasure—it's a new beginning! Pleasure in the Pause is dedicated to inspiring midlife women to feel more connected to their bodies, pleasure, and power through perimenopause, menopause, and beyond. Every week, we dive into informative and thought-provoking conversations with doctors, thought leaders, and experts in midlife wellness on pleasure and sexuality, menopause, embodiment and female empowerment. Hosted by Gabriella Espinosa, a menopause and female pleasure coach who is committed to guiding women to connect with their bodies, take charge of their health and live their fullest potential in midlife and beyond. Together, we'll reframe the conversation around pleasure, sex and menopause so you can be the best advocate for your body in and out of the bedroom. We want you to feel PLEASURE HAS NO EXPIRATION DATE! Say YES to Pleasure at www.pleasureinthepause.com 

  1. 77 | FDA Removes Black Box Warning From Hormone Therapy: What Women Need To Know In 2025

    2D AGO

    77 | FDA Removes Black Box Warning From Hormone Therapy: What Women Need To Know In 2025

    Have you been living with debilitating hot flashes, sleepless nights, or painful intercourse because you're terrified hormone therapy will give you cancer? What if everything you've been told about menopause treatment has been wrong? In this urgent episode of Pleasure In the Pause, host Gabriela Espinosa reveals a seismic shift in women's healthcare: the FDA has just eliminated the fear-based black box warnings that have kept millions of women from accessing hormone therapy for over two decades. This isn't just a policy change—it's a complete vindication of the science that's been buried under misinformation since 2002. Highlights from our discussion include: A Misinterpreted Study Created Two Decades of Unnecessary Suffering.The Real Breast Cancer Numbers Tell a Different Story.Hormone Therapy Rivals Statins for Heart Protection (But Nobody Talks About It).Your Symptoms Aren't "Just Part of Aging" and They're Not Trivial.Timing Is Everything for Maximum Benefit.The era of dismissing, minimizing, and scaring women away from effective treatment is over. This FDA decision represents more than regulatory housekeeping—it's a fundamental shift in how women's health is valued and treated. But knowing your options exist is only the first step. Now it's time to advocate for yourself. Every woman who hears this information is one step closer to reclaiming her health, her comfort, and her power. The grassroots advocacy that made this FDA decision possible—including the 26,000+ signatures collected by Let's Talk Menopause—proves that our voices matter. If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment. LINKS MENTIONED: Ep 34 with Jill Chmielewski FDA Press Conference CONNECT WITH GABRIELLA ESPINOSA: Instagram LinkedIn Work with Gabriella!  Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    20 min
  2. 76 | Midlife As A Living Bardo: How To Embrace Change And Find Peace With Ann Tashi Slater

    NOV 5

    76 | Midlife As A Living Bardo: How To Embrace Change And Find Peace With Ann Tashi Slater

    Feeling stuck in the unsettling space between who you were and who you're becoming? If you're navigating midlife transitions—whether it's empty nest, perimenopause, aging parents, or shifting identity—this episode of Pleasure in the Pause offers a transformative perspective on living consciously through change. Host Gabriela Espinosa sits down with Ann Tashi Slater to explore the Buddhist concept of "bardo"—the in-between state—as a powerful model for midlife transformation. If you've been resisting change, clinging to what was, or feeling overwhelmed by uncertainty, this conversation reveals how accepting impermanence can actually open the door to deeper peace, creativity, and joy. Discover practical daily practices for meeting life's transitions with awareness instead of resistance, and learn how to live fully awake in the great in-between of midlife. Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift. Ann Tashi Slater is the author of Traveling in Bardo: The Art of Living in an Impermanent World. She contributes to The New Yorker, The New York Times, The Washington Post, The Paris Review, Oprah Daily, Guernica, Granta, and many others. Her speaking engagements include Princeton, Columbia, Oxford, the American University of Paris, and Asia Society.  Highlights from our discussion include: Bardo as a midlife model: The Buddhist concept of bardo—the in-between state—perfectly describes midlife when we're no longer who we were but not yet who we're becoming.Acceptance unlocks action: True acceptance doesn't mean giving up—it allows meaningful action. We must acknowledge reality before we can move forward through any transition.Resistance causes suffering: It's not change itself that threatens us, but our resistance to it. Clinging to what was creates additional suffering on top of natural grief.Practice noticing transitions: Build comfort with impermanence by observing daily beginnings and endings—the start and end of each day, changing seasons, how you've evolved over time.This week, notice one beginning and one ending in your day. Then ask yourself: If things could be exactly as I wanted, what would my life look like? Remember—wanting to be happy isn't selfish, it's human. If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment. CONNECT WITH ANN TASHI SLATER: Traveling In Bardo Website CONNECT WITH GABRIELLA ESPINOSA: Instagram LinkedIn Work with Gabriella!  Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    59 min
  3. 75 | Nervous System Regulation for Menopause: Reduce Stress and Increase Pleasure

    OCT 30

    75 | Nervous System Regulation for Menopause: Reduce Stress and Increase Pleasure

    Are you struggling with anxiety, sleeplessness, and low libido in perimenopause—even after starting hormone therapy? You're doing everything right, but still feel wired, exhausted, and disconnected from pleasure. The missing piece might surprise you: it's your nervous system. In this episode of Pleasure in the Pause, host Gabriela Espinosa reveals why balancing hormones alone isn't enough. Groundbreaking research from UC San Francisco shows that your nervous system is literally woven into your ovaries, directly influencing how you age, how you experience menopause symptoms, and how much pleasure you can access in your body. If you've felt like your body is betraying you in midlife, this conversation will change how you understand stress, hormones, and intimacy forever. Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift. Highlights from our discussion include: Your nervous system and hormones are in constant conversation. Declining estrogen makes your nervous system more reactive to stress, which is why you suddenly feel more anxious and on edge in perimenopause—it's biology, not "in your head."New research reveals your stress response is wired into your ovaries. Scientists at UC San Francisco discovered that sympathetic nerves (fight-or-flight) form dense networks in your ovaries and directly influence how they age. Chronic stress doesn't just affect your mood—it affects your ovarian health and longevity.Pleasure requires nervous system safety. When you're stuck in fight, flight, or freeze, your body can't access pleasure or intimacy. You need to feel safe in your body first before you can experience arousal, desire, and deep connection.You need both calm AND charge. The goal isn't to always be relaxed—you need sympathetic energy for desire and aliveness, and parasympathetic energy for rest and connection. True nervous system health is flexibility: moving fluidly between states.Simple practices make a profound difference. Grounding exercises like feeling your feet on the floor, humming to stimulate your vagus nerve, taking micro-pauses throughout the day, and naming your nervous system state can help you shift from survival mode to safety and pleasure.Your nervous system isn't something to fix or control—it's something to befriend and partner with. It's your body's way of speaking to you, telling you when you need rest, movement, connection, or pleasure. This week, practice one simple tool: when you feel overwhelmed, pause and feel your feet on the ground. Notice the contact. Take three deep breaths. This small act tells your nervous system you're safe—and that's where healing and pleasure begin. CONNECT WITH GABRIELLA ESPINOSA: Instagram LinkedIn Work with Gabriella!  Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    30 min
  4. 74 | Dating After Divorce in Midlife: Rebuilding Identity, Desire & Connection with Dr. Jasmonae Joyriel

    OCT 22

    74 | Dating After Divorce in Midlife: Rebuilding Identity, Desire & Connection with Dr. Jasmonae Joyriel

    Rediscovering yourself after divorce—especially during midlife and menopause—can feel overwhelming. When decades of partnership end, you're left asking: Who am I now? What do I really want? And if you're thinking about dating again, how do you navigate desire, boundaries, and intimacy in this completely new chapter? Dr. Jasmonae Joyriel, licensed clinical psychologist and founder of Ignite Anew, helps high-performing individuals and couples transform their relationships, friendships, and sex lives. A Spelman alumna with advanced degrees from Northwestern University and the University of Denver, she brings nearly a decade of experience across mental health centers, VA hospitals, and private practice. Specializing in how past experiences shape present needs, Dr. Joyriel offers a holistic, evidence-based, and embodied approach that goes beyond mindset to create mind-health. She delivers personalized therapy, couples work, and immersive retreats that empower clients to navigate sex, dating, friendships, and personal growth with depth and lasting fulfillment. Highlights from our discussion include: Before entering the dating world, reconnect with who you are now—not who you were in your twenties or thirties. Explore what brings you to life, revisit shelved dreams, and give yourself permission to want what you truly desire. If you don't know how to date yourself, you can't authentically date someone else.You're ready when you're dating because it adds to your life (not anchors it), when you've identified your contribution to past relationship dynamics, and when you can articulate how you want to date—casually, for commitment, or somewhere in between. Dating should feel like "sprinkles on top," not the whole pie.Your values have likely evolved since your last relationship. Clarify what matters now: What does generosity look like in a partner? What inspires you versus deprives you? Defining these before dating ensures your compass points north every time.Menopause, body changes, and shifting desire call for a more expansive "erotic pantry." Move beyond penetrative sex to include sensual massage, kissing, touch, and varied forms of pleasure. Consent isn't binary—it's created fresh each time by asking, "What do I want to do today?"Have adult conversations about sexual health, testing, and relationship structures within the first few dates. Discuss these topics in non-sexual settings (over coffee, during a walk) so decisions aren't made in heated moments. Your safety and agency matter, and the right partner will respect that.CONNECT WITH DR JASMONAE JOYRIEL: Website Instagram LinkedIn CONNECT WITH GABRIELLA ESPINOSA: Instagram LinkedIn Work with Gabriella!  The information shared on Pleasure in the Pause is for educational and informational purposes on Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    1h 22m
  5. 73 | Lifestyle Medicine for Menopause: 6 Pillars to Restore Energy, Sleep & Hormonal Balance

    OCT 16

    73 | Lifestyle Medicine for Menopause: 6 Pillars to Restore Energy, Sleep & Hormonal Balance

    The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause. Are you struggling with anxiety, brain fog, sleepless nights, and exhausting hot flashes during perimenopause or menopause? Feeling like your body has betrayed you while everyone tells you to "just deal with it"? You're not alone—and there's so much more you can do than you've been told. In this special World Menopause Day episode of Pleasure and the Pause, host Gabriela Espinoza breaks down the six pillars of lifestyle medicine for menopause—the evidence-based framework that can transform your menopause experience. Whether you're dealing with weight gain, low libido, joint pain, or feeling like you've lost yourself in midlife, this episode reveals practical, actionable strategies to reclaim your energy, vitality, and pleasure during this transition. Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift. Highlights from our discussion include: Menopause is more than hot flashes—it's a full-spectrum transformation. The good news? Lifestyle medicine offers powerful, evidence-based tools to manage symptoms and improve quality of life.Nutrition, movement, sleep, stress management, avoiding risky substances, and social connection work together to ease symptoms, reduce chronic disease risk, and support long-term health.Mediterranean-style eating rich in fruits and vegetables may reduce hot flashes, while ultra-processed foods worsen symptoms. Start your day with protein and add magnesium-rich foods for better sleep.Sexual wellness and pleasure are fundamental to your overall health—reducing stress, improving sleep, boosting energy, and connecting you to your purpose. Your capacity for intimacy and joy doesn't diminish with age.Menopause offers profound opportunities for self-knowledge, clarity, boundaries, and freedom. When approached with intention, this can be one of the most transformative times of your life.You have more power than you've been told. Menopause isn't something that simply happens to you—it's a passage you get to shape through the daily choices you make. Start today by implementing just one action step from the six pillars discussed in this episode. Ready to transform your menopause experience with support from a community that truly understands? Visit pleasureinthepause.com to explore coaching programs and group courses designed specifically for midlife women. Share this episode with a woman who needs to hear that thriving through menopause is possible—because your pleasure matters, your wellbeing matters, and YOU matter. If you're seeking to reclaim your pleasure and vitality, join Gabriella at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    34 min
  6. 72 | Second Spring: Transforming Menopause Through Yoga and Mindfulness with Petra Coveney

    OCT 8

    72 | Second Spring: Transforming Menopause Through Yoga and Mindfulness with Petra Coveney

    The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause. Struggling with hot flashes, anxiety, sleepless nights, or joint pain during perimenopause or menopause? In this episode of Pleasure In the Pause, host Gabriella Espinosa welcomes menopause yoga pioneer Petra Coveney to explore how ancient yoga practices can ease common menopause symptoms and support your journey through midlife. Discover why stress management is the foundation of menopause wellness, learn breath work techniques that calm anxiety in minutes, and explore the beautiful concept of "Second Spring"—a reframing of post-menopause as a time of reblossoming and renewed vitality. Petra Coveney is the creator of Menopause Yoga™ (2013), a senior yoga teacher, trainer and author of two books on menopause. Her first book ‘Menopause Yoga - a Holistic Guide to Supporting Women on their Menopause Journey,’ (2021) accompanies her internationally accredited teachers’ training course. She has trained more than 1,000 Menopause Yoga teachers in over 40 countries and her course was translated into Japanese. Her NEW (very pink) book ‘Menopause & Wellbeing - a Daily Practice Guide for Perimenopause to Second Spring’ is published this month (October). ‘She' is friendly bedside table guide for people going through this stage of life, and for teachers and therapists working one-to-one.stage of life. Highlights from our discussion include: Hormonal changes during menopause create an internal stress response that, combined with life stressors, can worsen every symptom from hot flashes to insomnia through elevated cortisol and inflammation.Simple practices like the "hot flush mantra," 3-minute anxiety meditation, and birthday candle breath for rage provide evidence-based relief in minutes and can be done discreetly anywhere.Drawing from Traditional Chinese Medicine, post-menopause can be reframed as a time of rebirth and reblossoming when you prioritize your health and wellbeing through the transition.Beyond physical relief, yoga reconnects you with your inner wisdom and helps you cultivate daily pleasure—whether through dancing, nature, or intimacy—strengthening your capacity for vitality and love.Gentle pelvic floor practices using breath work and imagery support genitourinary symptoms, sexual pleasure, and overall wellbeing without shame or stigma.Your body already has the wisdom you need. The answers are within you—you just need to breathe, listen, and trust yourself. Remember: Second Spring is real, but it requires you to care for your health and wellbeing as you travel through perimenopause and menopause. CONNECT WITH PETRA COVENEY: Instagram You can buy her books on Amazon -  or from the publishers’ website www.singingdragon.com and receive a 25% discount. Just use this code %25PETRA.  To join her live online classes and teacher training courses visit Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    1h 7m
  7. 71 | Breaking Cultural Barriers: Gaby Natale on Resilience, Reinvention, and Menopause

    OCT 1

    71 | Breaking Cultural Barriers: Gaby Natale on Resilience, Reinvention, and Menopause

    Navigating menopause as a Latina woman often means facing it alone—without adequate information, representation, or community support. On this episode of Pleasure in the Pause, host Gabriela Espinosa sits down with Emmy-winning journalist and entrepreneur Gaby Natale to discuss how she's revolutionizing menopause education for Latinas through her groundbreaking bilingual platform, Menopausia.com. Whether you're struggling with medically-induced menopause after breast cancer treatment, searching for reliable information in Spanish, or simply tired of outdated depictions of midlife women, this conversation offers validation, solutions, and a roadmap for reclaiming your power during this transformative life stage. Gaby shares her journey from breast cancer survivor to menopause advocate, revealing why Latinas experience longer transitions and how breaking the silence can literally save lives. Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift. Gaby Natale is a three-time Daytime Emmy Award-winning journalist, bestselling author, entrepreneur, and leadership speaker. She made history as the first Latina to win three consecutive Daytime Emmys and the first Hispanic author published by HarperCollins Leadership. Recognized by People Magazine as one of the 25 Most Powerful Latinas and by Success Magazine as a Woman of Influence, Gaby is also a breast cancer survivor and official ambassador for Susan G. Komen. Most recently, she founded Menopausia.com, the first bilingual FemTech platform dedicated to Latinas navigating perimenopause and menopause. Her bestselling book, The Virtuous Circle, provides a framework for reinvention and breaking barriers. Connect with her on Instagram @gabynatale and explore Menopausia.com for comprehensive menopause resources in English and Spanish. Highlights from our discussion include: Stop waiting for permission or copying what others do. Real transformation happens when you trust your own vision before the world validates it.The menopause transition lasts approximately two years longer for Latina women, with the average age being 48 instead of 51. Women in the US typically see 4-5 different doctors before finding adequate menopause solutions.Gaby's "Virtuous Circle" model identifies seven archetypes that drive successful transformation.The depressing, outdated imagery typically used to portray menopausal women perpetuates shame and invisibility. Menopause doesn't have to be navigated in isolation or shame. By sharing our stories, breaking cultural silence, and accessing reliable bilingual resources, we can ensure the next generation of women enters this transition with knowledge, community, and confidence. Learn more about Menopausia.com here: https://menopausia.com/ Instagram: https://www.instagram.com/menopausiacom/ Connect with Gaby here:  https://www.instagram.co Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    51 min
  8. 70 | Is Silence Costing You Your Health (and Your Pleasure)?

    SEP 24

    70 | Is Silence Costing You Your Health (and Your Pleasure)?

    Did you know that 75% of midlife women experience sexual health changes, but only 7% receive treatment. Why? Because we're staying silent. In this episode of Pleasure In the Pause, certified women's health coach Gabriela Espinosa reveals how this silence is costing us our health, relationships, and vitality. Learn why sexual health isn't optional—it's essential to your overall wellbeing in perimenopause, menopause, and beyond. Pleasure Upgrade VIP Coaching Program: One-to-one coaching experience to help you understand your unique sexual blueprint and create deeper, more satisfying intimacy Highlights from our discussion include: The Hidden Crisis: 75% of midlife women have sexual health changes, but most suffer in silence—leading to depression, anxiety, and relationship breakdownHealthcare Gaps: Only 25% of medical schools teach sexual health; 80% of doctors won't bring it up unless you do firstThe Pleasure Gap: 73% of women prioritize their partner's pleasure over their own, missing out on satisfaction that's essential to their vitalityBreaking Generational Silence: Your silence around sexuality was passed down through generations—it's time to break the cycleThe Power of Speaking Up: Women who discuss sexual health show 67% improvement in desire and 58% increase in satisfaction within 12 weeksThis Sexual Health Awareness Month, choose one conversation you've been avoiding. Whether it's scheduling that appointment, having an honest talk with your partner, or simply speaking more kindly to yourself about your evolving body—your voice matters. Every time you speak openly about your sexual health, you give another woman permission to do the same and break a link in the generational silence chain. Your silence has cost you enough. It's time for your satisfaction. Ready to dive deeper? Subscribe to Pleasure In the Pause and share this episode with the women in your life who need to hear this message. Together, we're moving from silence to satisfaction. If you're seeking to reclaim your pleasure and vitality, join Gabriella at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment. CONNECT WITH GABRIELLA ESPINOSA: Instagram LinkedIn Work with Gabriella!  Go to https://www.gabriellaespinosa.com/ to book a call. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

    27 min
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Menopause doesn't mean the end of pleasure—it's a new beginning! Pleasure in the Pause is dedicated to inspiring midlife women to feel more connected to their bodies, pleasure, and power through perimenopause, menopause, and beyond. Every week, we dive into informative and thought-provoking conversations with doctors, thought leaders, and experts in midlife wellness on pleasure and sexuality, menopause, embodiment and female empowerment. Hosted by Gabriella Espinosa, a menopause and female pleasure coach who is committed to guiding women to connect with their bodies, take charge of their health and live their fullest potential in midlife and beyond. Together, we'll reframe the conversation around pleasure, sex and menopause so you can be the best advocate for your body in and out of the bedroom. We want you to feel PLEASURE HAS NO EXPIRATION DATE! Say YES to Pleasure at www.pleasureinthepause.com 

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